BOTOX® Cosmetic

Cosmetic denervation is a procedure used to improve the appearance of worry lines, frown lines, crow's feet, laugh lines and so-called dynamic wrinkles. Dynamic wrinkles occur when we smile, laugh or frown, and the delicate muscles underlying aging skin contract. In cosmetic denervation, botulinum toxin (BOTOX®) is injected into these muscles. BOTOX® works by weakening these tiny facial muscles precisely. After treatment, the overlying skin remains smooth and unwrinkled while untreated facial muscles contract normally, allowing normal facial expression to be unaffected.

Though cosmetic denervation is a relatively new treatment for dynamic wrinkles, BOTOX® injections have been safely and effectively used for over a decade for many neurologic and ophthalmologic disorders. The Physicians and Clinical Nurse Specialists at Dermatique have extensive experience with BOTOX® injections. We have performed thousands of BOTOX® injections and were one of the first groups to use BOTOX® for cosmetic purposes.

Cosmetic denervation is a simple and safe procedure. A very small amount of BOTOX® is injected with a very fine needle into several locations in the face. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injections is minimal. Many people say the sensation is similar to a fly or an ant bite. No sedation or local anesthetic is required, and you will be able to drive and engage in all of your usual daily activities immediately after your injections. You may have slight temporary bruising of the skin at your injections sites, but otherwise, there will be no visible signs of your treatment.

Bruising is relatively uncommon, but if it occurs, is usually very mild. Because the medication can sometimes migrate, this may cause temporary weakness of nearby muscles; rarely there can be drooping of an eyelid or asymmetry of facial expression. The risk of any side effects depends on the muscles injected. Because BOTOX® effects are completely reversible, any side effects are temporary, lasting only a few weeks.

If dynamic wrinkles are making you look older than you should, cosmetic denervation can smooth these out and give you a more youthful appearance. However, this procedure will not improve the more common "static" wrinkles that are unrelated to facial muscle contraction. You should also understand that cosmetic denervation will not improve loose or sagging skin and does not serve the same function as a face-lift.

Unfortunately, cosmetic denervation is not a permanent solution to the problem of dynamic wrinkles. Because the injections only last about four to six months, treatments typically should be scheduled two to three times a year.

At Dermatique we have pioneered the use of BOTOX® cosmetic for areas other than the forehead or between the eyes. We were the first to describe the "BOTOX Browlift" and we pioneered the use of BOTOX® in lower face, neck and around the mouth.

We also offer BOTOX® specials during our monthly "BOTOX Parties" where we offer BOTOX® and other services at discounted rates.

The price for one unit of BOTOX® is $10. The following is a list of areas and the number of units required for treatment:

Glabella 20-30 Units

Brow Lift 5-10 Units
(in addition to Glabella area)

Crows Feet 10-15 Units / Eye

Forehead 10-15 Units

Neck 20-25 Units

Corner Mouth Lift 5 Units

BOTOX® is a registered trademark of Allergan, Inc.

For information on future BOTOX® party dates please contact us at (805) 230-1111.

2 syringes of Juvéderm™ and 20 units of Botox®

Before

After

2 syringes of Juvéderm™ and 20 units of Botox®

Before

After

2 syringes of Juvéderm™ and 20 units of Botox®

Before

After

Before

After

Before

After

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Glabella		20-30 Units
Brow Lift		5-10 Units (in addition to Glabella area)
Crows Feet		10-15 Units / Eye
Forehead		10-15 Units
Neck		20-25 Units
Corner Mouth Lift		5 Units